MATTHEW ROBERT MUSSALLEM - Athletic Trainer License in Illinois | # 096001880

MATTHEW ROBERT MUSSALLEM

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096001880

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

ROBERT

Last Name

MUSSALLEM

Business Name

MATTHEW ROBERT MUSSALLEM

Original Issue Date

12/18/2003

Effective Date

06/01/2006

Expiration Date

05/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

07/11/2008